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<br />; <br /> <br />. <br /> <br />Project: <br />Owner: <br />Contractor: <br />URS Job N"o <br /> <br />PAGE 1 OF 3 <br /> <br />APPLICATION FOR PAYMENT <br />PAYMENT NO.1 <br /> <br />Cummings Park Drive <br />City of Arden Hills <br />Kraus - Anderson <br />37951-005-2701 <br /> <br />lIRS Ccpy <br />X cay Ccpy <br />CGnIraclor Ccpy <br />Inspector Copy <br /> <br />Applicalico r"11a: <br /> <br />r--o- <br />I hemby <br /> <br />. Contrar <br /> <br />B . ( <br />Y-f- <br /> <br />.~- <br /> <br />, <br />, <br /> <br />r <br />st"KiWri <br /> <br />Erl(,h'::... <br /> <br />By:_ <br />/ <br /> <br />r------- <br /> <br />August 13,2004 <br /> <br />Contract Amount To Date: <br />Contract Amendments: <br />Total Amount Of Work Complete To Date: <br />Gross Amount Due To-Date: <br />Amount Due To-Date <br />Less Previous Payments: <br />Total Due This Application: <br /> <br />$87,491.97 <br />$0.00 <br />$87,491.97 <br />$87,491.97 <br />$87,491.97 <br />$0.00 <br />$87,491.97 <br /> <br />'"j\;)that all 'tems and amounts shown are correct for the work completed to-date. <br /> <br />{/ K AUS-ANDERSON <br />, <br /> <br /> <br />Date:~ <br /> <br />'00,'% project and the application for payment have been reviewed and the amount <br />,commended for payment. <br /> <br />;/ <br /> <br /> <br />UR~ORATION <br /> <br />Date: <br /> <br />ff! 507 <br /> <br />APPRC 'J FOR PAYMENT <br /> <br />Owner CITY OF ARDEN HILLS <br /> <br />By:__ Date: <br /> <br />. <br />